Before __ Name:________________________
After __
Parents please complete a form & help youth members complete a
form.
This questionnaire will attempt to measure impact of the
Wayne County MSUE 4-H E=MC2 computer education efforts.
Please select the appropriate response for each item. This
is NOT a test but a questionnaire to identify needs, impact
and activities participants want.
Please complete and return to 4-H E=MC2 Staff. Thank you!!!
A. Please select your response for the following
statements:
It is important for the E=MC2 Program to provide:
Highly
Quite
Important
Somewhat Not
Important
Important
Important Important
5
4
3
2 1
1. ... computer training at E=MC2
sites.
5 4 3 2 1
2. ... Internet training at E=MC2
site.
5 4 3 2 1
3. ...opportunity to use a computer at the site. 5 4 3 2 1
4. ...on-going training at MSU
campus.
5 4 3 2 1
5. ...activities for "self-study" at
leisure.
5 4 3 2 1
B. Please indicate the extent to which you agree or disagree
for the need of the following educational, FUN opportunities.
Strongly Agree Neither
Disagree
Strongly
Agree
Disagree
SA
A
N
D SA
6. Opportunity to "own" home
computer.
SA A N D SD
7. Learn about financing a home
computer.
SA A N D SD
8. Explore the Internet as
"homework".
SA A N D SD
9. Work in teams of 2-4
people.
SA A N D SD
10. Work as
individuals.
SA A N D SD
11.Make a local home
page.
SA A N D SD
C. Please circle your response to the following questions or
statements:
12. How many times a week do you use a computer?
never 1-5 times
6-10 times more than 10 times
13. I use computers at: (can circle more than one)
home
school
work E=MC2 site
I don't use computers
14. I use computers for: (can circle more than one)
fun school work
work to play games
I don't use computers
15. I currently use a computer for: (can circle more than one)
typing games
e-mail
Internet browsing
I don't use computers
16. Computer hardware refers to:
monitor CPU unit Windows 95
keyboard Internet I
don't know
17. Circle what is needed to access the Internet.
computer software
modem
telephone line speakers CD ROM
18. Please circle communication tools of the Internet.
e-mail
MSU
WWW
ftp
IBM 4-H
19. How does communication take place through the Internet:
people - computer
computer-computer
telephone-telephone
20. I can contact a computer in the following country(ies)
through the Internet:
USA Mexico
Egypt
Australia Japan N
igeria
21. Please list the six domains which classify addresses on
the Internet:
______, ______, ______, ______, ______ (I don't
know)
22. The Internet address for our site is:
__________@___________________, ( I don't know)
D. Please fill-in appropriate response:
23. __4-H Youth Member __4-H Volunteer Leader __Parent
__Staff member
24. ____ Age __ (x)over 18 years of age
25. ____ Grade in school if youth member
26. _________ Zip code
27. ____ How many years have you been involved in 4-H?
Additional comments/suggestions, workshop ideas:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Please complete and return to: David Crawford, 4-H Youth
Agent, WC MSUE
640 Temple 6th Floor, Detroit, MI 48201 Fax: (313) 833-3298.
Thank you!!
Thank you for your participation !!!
View Adobe Acrobat file.
Computer pre/post instrument as used.